Presence Life Connections

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PRESENCE LIFE CONNECTIONS

Practice address

901 N Entrance Ave
Kankakee, IL 60901-2026

Phone

(815) 939-4506

Fax

(815) 939-4761

NPI assigned

Sep 23, 2005

Organization subpart

Yes

Parent organization

PRESENCE LIFE CONNECTIONSAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kellie Gronefeld

Title

Coo

Phone

(314) 729-3500

Specialties & licenses 1

Addresses

Other names 1

• Ascension Living Heritage Village Doing business as

Part of

Presence Heritage Day Break

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1477549509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18927 HICKORY CREEK DR STE 300",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488652",
            "telephone_number": "708-478-6382",
            "fax_number": "708-478-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N ENTRANCE AVE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012026",
            "telephone_number": "815-939-4506",
            "fax_number": "815-939-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE LIFE CONNECTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESENCE LIFE CONNECTIONS",
        "enumeration_date": "2005-09-23",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "GRONEFELD",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "314-729-3500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Living Heritage Village",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ascension Living Heritage Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Anesthesia of Illinois Professional Corporation
• Presence Central and Suburban Hospitals Network
• Presence Central and Suburban Hospitals Network
• Presence Heritage Day Break
• Presence Home Care
• Presence St. Mary Hospital
• Prime Healthcare Associates, Inc.
• Prime Healthcare Home Care and Hospice, LLC
• Prime Healthcare Living - Heritage Village LLC
• Prime Healthcare Living - Resurrection Place LLC

• Skilled Nursing Facility in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.